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一项针对在三级护理中心被转诊至精神科的故意自我伤害个体的研究。

A study of individuals with intentional self-harm referred to psychiatry in a tertiary care center.

作者信息

Tekkalaki Bheemsain, Nischal Anil, Tripathi Adarsh, Arya Amit

机构信息

Department of Psychiatry, J. N. Medical College, Belagavi, Karnataka, India.

Department of Psychiatry, King George Medical University, Lucknow, Uttar Pradesh, India.

出版信息

Ind Psychiatry J. 2017 Jan-Jun;26(1):95-98. doi: 10.4103/ipj.ipj_53_15.

DOI:10.4103/ipj.ipj_53_15
PMID:29456330
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5810176/
Abstract

BACKGROUND

Intentional self- harm (ISH) is one of the commonest yet neglected entities of Consultation liaison Psychiatry. More researches in the field of ISH are needed to effectively manage this problem.

AIM

To study the socio-demographic and clinical profile of subjects of ISH referred to Psychiatry in a tertiary care hospital.

MATERIALS AND METHODS

All subjects of ISH referred to department of Psychiatry, of a tertiary centre, on specified days were recruited in to the study after obtaining an informed consent. Socio-demographic details, details of psychiatric assessment were documented using a semi structured proforma. Appropriate management was done.

RESULTS

Forty one subjects were included in the study. About two third of them belonged to the age group of 18 to 35 years. 56% of them were males, and 71% were married. House wives and students formed a significant proportion of sample. Most common method of ISH was self-poisoning. About two third of the patients had no diagnosable psychiatric illness. Interpersonal conflicts with family members (47%), conflicts with spouse (22%), broken emotional relationship (18%) were common causes for impulsive acts of ISH.

CONCLUSIONS

ISH is common amongst young, married males. About two third of those who attempt ISH have no diagnosable psychiatric illness, in rest, neurotic stress related disorders, personality disorders and substance use disorders were predominant.

摘要

背景

故意自我伤害(ISH)是会诊联络精神病学中最常见但却被忽视的问题之一。ISH领域需要更多研究以有效处理这一问题。

目的

研究在一家三级护理医院转介至精神科的ISH患者的社会人口学和临床特征。

材料与方法

在特定日期,所有转介至某三级中心精神科的ISH患者在获得知情同意后被纳入研究。使用半结构化表格记录社会人口学细节、精神评估细节。进行了适当的管理。

结果

41名患者被纳入研究。其中约三分之二属于18至35岁年龄组。56%为男性,71%已婚。家庭主妇和学生在样本中占很大比例。ISH最常见的方式是自我中毒。约三分之二的患者没有可诊断的精神疾病。与家庭成员的人际冲突(47%)、与配偶的冲突(22%)、情感关系破裂(18%)是ISH冲动行为的常见原因。

结论

ISH在年轻已婚男性中很常见。约三分之二试图ISH的人没有可诊断的精神疾病,其余患者中,与神经症性应激相关的障碍、人格障碍和物质使用障碍占主导。

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